Matthew Odishoo - Avondale, AZ

Matthew Odishoo

Adult Companion in Avondale, Arizona

NPI 1679069025

Matthew Odishoo is an Adult Companion based in Avondale, AZ. Matthew Odishoo practices in Avondale, AZ. The NPI Number for Matthew Odishoo is 1679069025 and holds a License No. AL10626H (Arizona).

The current practice location address for Matthew Odishoo is 2114 S 118Th Ave, Avondale, AZ and can be reached out via phone at 623-792-7930 and via fax at 623-777-1683.

Location: 2114 S 118Th Ave, Avondale, AZ, 85323-7643

NPI Number

1679069025

Provider Name

Matthew Odishoo

Credential

Provider Entity Type

Individual

Gender

Male

Address

2114 S 118Th Ave, Avondale, AZ, 85323-7643

Phone Number

623-792-7930

Fax Number

623-777-1683

Provider Enumeration Date

07/09/2018

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
381288	01	AZ	AHCCCS

Address

2114 S 118Th Ave

City

Avondale

State

Arizona

Zip

85323-7643

Phone Number

623-792-7930

Fax Number

623-777-1683

Address

2114 S 118Th Ave

City

Avondale

State

Arizona

Zip

85323-7643

Phone Number

623-792-7930

Fax Number

623-777-1683

Type

Nursing Service Related Providers

Classification

Adult Companion

Speciality

Taxonomy

372600000X

License No.

AL10626H (Arizona)

Definition

An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.

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